SAPNIL D PATEL PA-C
NPI 1912284266
Physician Assistant - Surgical in Charlotte, NC

Active since November 14, 2011PECOS EnrolledAccepts Medicare Assignment
225 BALDWIN AVE, CHARLOTTE, NC 28204(704) 376-1605(704) 335-8448 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sapnil D Patel Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAPNIL D PATEL PA-C (NPI 1912284266) is an individual surgical provider in Charlotte, North Carolina, licensed in North Carolina (0010-03920) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of George Washington University School Of Medicine (2011).

NPPES Registry Identity

NPI1912284266
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSAPNIL D PATELCredential: PA-C
Location Address225 BALDWIN AVECharlotte, NC 28204-3109
Mailing Address225 Baldwin AveCharlotte, NC 28204-3109 · (704) 376-1605 · Fax (704) 335-8448
Fax(704) 335-8448
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2011
Enumeration DateNovember 14, 2011
Last NPPES UpdateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
NPI 1912284266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NC · 0010-03920
225 BALDWIN AVE, Charlotte, NC 28204

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sapnil D Patel Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547437360
PECOS Enrollment IDI20130222000185, I20170410001841
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services44 patients
Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes 99447
This is a virtual consultation with a specialist doctor, lasting between 11-20 minutes. It can be done over the phone or online. The physician will assess your health, discuss findings, and provide a written report summarizing the consultation and any recommendations.
49 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
31 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physician Assistant
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physical Therapist
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physician Assistant (Surgical)
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physician Assistant
225 BALDWIN AVE
CHARLOTTE, NC 28204
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC 28204
Physical Therapist
225 BALDWIN AVE
CHARLOTTE, NC 28204
Neurological Surgery
225 BALDWIN AVE
CHARLOTTE, NC 28204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sapnil Patel's NPI number?

The NPI number for Sapnil Patel is 1912284266. It was assigned to this individual provider in the NPPES registry on November 14, 2011.

Where is Sapnil Patel located?

Sapnil Patel practices at 225 Baldwin Ave, Charlotte, NC 28204. The listed phone number is (704) 376-1605.

What is Sapnil Patel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sapnil Patel enrolled in Medicare?

Yes. Sapnil Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sapnil Patel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Sapnil Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sapnil Patel affiliated with any hospitals?

According to CMS data, Sapnil Patel is affiliated with Carolinas Medical Center-Northeast, Atrium Health Cleveland, Atrium Health Pineville, Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Sapnil Patel was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.